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Kidney Education Resources

Home Dialysis Program

Welcome to the Home Dialysis Program

Our team is here to give you the information and skills you need to feel confident about managing your dialysis and other health care needs at home.  We will partner with you and your family to support and care for you through your journey. We are always available to support you with any decisions you will need to make about your health.

When you start dialysis, you will come to the hospital for education and training. This will ensure that you are safe to do your treatments at home. You will also receive your dialysis while you are here. Your training sessions will run from 9 am to 3 pm. Your schedule will be discussed and planned with you before your first training day.

Our commitment to you

Expectations in our clinic

Your clinic visit

Home Dialysis Unit at St Michael's

Your health care team

Setting your personal goals

Peritoneal Dialysis (PD) - At Home

What is Peritoneal Dialysis (PD)?

  • Peritoneal dialysis is a form of dialysis used to remove waste products and excess water, using your own peritoneal membrane as a filter
  • A catheter is used to move fluid in and out of your body
  • The catheter comes in different shapes and sizes and is made of a soft, flexible plastic 
  • The catheter is positioned under your skin, layers of fat and tissue and extends into your peritoneal cavity
  • The peritoneal dialysis exchange process removes old dialysis fluid from the peritoneal cavity and replaces it with new fluid. 
  • There are 3 major phases to the dialysis exchange process. These are:

i)   Drain:

Fluid in the peritoneal cavity, which consists of waste products and extra water from you blood, is drained through your catheter into a bag

ii)  Fill:

New dialysis fluid flows into your peritoneal cavity through your catheter

iii) Dwell:

Fluid stays in your peritoneal cavity. Dialysis and excessive fluid removal occurs during this phase

Peritoneal Dialysis (PD) Resources

1. Patient Guide

This instructional guide covers a number of topics related to the home dialysis program and how to manage your dialysis at home. For the full guide, see Welcome to Home Dialysis. For patients of St. Michael's Hospital.

2. Videos

Topic: Exit Site Care

This instructional video explains the technique to perform exit site care for a patient with a peritoneal dialysis catheter.

Click here to watch video

Topic: Continuous Ambulatory Peritoneal Dialysis (CAPD)

This instructional video explains the technique to perform CAPD. CAPD stands for Continuous Ambulatory Peritoneal Dialysis. This may also be known as twin bag or manual exchange.

Click here to watch video

3. Types of PD

For more information on different types of peritoneal dialysis, click on any of the following:

Peritoneal Dialysis - General information

Continuous Ambulatory Peritoneal Dialysis (CAPD)

Automated Peritoneal Dialysis (APD)

Hemodialysis (Hemo) - At Home

Home hemodialysis offers you flexibility with your schedule. Generally your dialysis prescription remains the same but the time of day and what days you do your dialysis are yours to schedule.  If there are changes in your health, you may require changes in your dialysis prescription.   Your nephrologist and nurse will discuss these with you.

When you are looking at your dialysis options, for home hemodialysis there is a home assessment done to ensure that there is sufficient, safe space to place the equipment and supplies. Your water and electrical systems are inspected to ensure they are able to support the equipment.  This is all discussed with you so that you can make the best decision for your needs.

Click on any of the headings below to learn more about:

Dialysis and Nutrition

Every person will have a specific diet and nutrition needs.  Your registered dietitian will work with you to create a plan that works best for you.  Before using any of the resources below to make sure  to ask if they are right for you.